In simple words: This code describes a mother's medical care during pregnancy when one of her twins is positioned bottom-first instead of head-first.Doctors use this code to track her care and any special attention needed due to this baby's position.

This code is used for maternal care related to a breech presentation (where the baby is positioned bottom-first) during pregnancy, specifically when there are two fetuses, and the code refers to the second fetus.It encompasses the management and observation of the mother's condition in relation to this fetal presentation, potentially including prenatal care, monitoring, interventions, and preparation for delivery. The code would be used in the maternal record and not the newborn record.

Example 1: A pregnant woman carrying twins is found to have one fetus in a breech position during a routine ultrasound. This code would be used to record the care provided for this specific twin, potentially including adjustments to prenatal care, discussions about delivery options, and regular monitoring., A pregnant woman with twins requires hospitalization due to complications related to the breech presentation of one fetus. This code would be used to reflect the medical care rendered, including any interventions like external cephalic version attempts or monitoring for potential complications such as placental abruption or premature labor., A woman with twins undergoes a cesarean section due to a breech presentation of the second fetus.This code would be used to document the maternal care associated with the breech presentation leading to this surgical intervention.

Documentation should include the gestational age, the ultrasound findings confirming the breech presentation, any interventions or management strategies used, and the details about the care received.All documentation should be related to the mother's condition related to the breech presentation.

** This code is part of a family of codes (O32.1XXX) that distinguish between multiple fetuses presenting in breech positions.Accurate documentation is essential to ensure proper coding and reimbursement.